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World at One

As featured in. World at One. 1. ei Technologies. Who we are What we do Why we do it What stage we’re at Things to discuss Q&A / discussion. We measure mood. Our team. Management team. Healthcare and Business advisors. Matt Dobson Co-Founder and CEO. Dr Tracey Parsons

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World at One

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  1. As featured in World at One 1

  2. ei Technologies Who we are What we do Why we do it What stage we’re at Things to discuss Q&A / discussion We measure mood

  3. Our team Management team Healthcare and Business advisors Matt Dobson Co-Founder and CEO Dr Tracey Parsons Clinical Psychology Technical team Funding Dr Duncan Barclay Co-Founder and CTO Prof Mike Catt Scientific + Innovation David Browning Start-Up Business Prof Stephen Cox Speech Recognition Andrea De-Marco Speaker Identification

  4. Setting the scene Treatment of depression and anxiety 6million people need treatment 900,000 IAPT treatment target 500,000 Treated now 80,000 Baseline 2009 2012 2015 Source: IAPT three-year report, Nov 2012

  5. The need Improve self-awareness of emotions • Impact • Reduced efficacy • Increased course duration “Complete once a day for 17 weeks...”

  6. Our solution: Xpression Turbo-charging the mood diary

  7. Why this might work Consumer driven, evidence-based Smartphone trends Patient homework and outcomes • UK: Mobilephones have reached saturation • UK: 60% of mobilephonesare smartphones • 40% of smartphone users track their health and fitness • $1.3Bn Health and Fitness app market • $700Mn was invested in smartphone health in H1 2012 Persons, J.B., Burns, D.D., & Perloff, J.M. (1988). Predictors of dropout and outcome in cognitive therapy for depression in a private practice setting. Cognitive Therapy Research, 12(6), 557-575. Neimeyer, R.A., & Feixas, G. (1990). The role of homework and skill acquisition in the outcome of group cognitive therapy for depression. Behavior Therapy, 21, 281-292. Bryant, M.J., Simons, A.D., & Thase, M.E. (1999). Therapist skill and patient variables in homework compliance: Controlling the uncontrolled variables in cognitive therapy outcome research. Cognitive Therapy and Research, 23(4), 381-399. Burns, D.D., & Spangler, D.L. (2000). Does psychotherapy homework lead to improvements in depression in cognitive-behavioral therapy or does improvement lead to increased homework compliance? Journal of Consulting and Clinical Psychology, 68(1), 46-56. Burns, D., & Nolen-Hoeksema, S. (1991). Coping styles, homework compliance, and the effectiveness of cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 59(2), 305-311. Addis, M.E., & Jacobson, N.S. (2000). A closer look at the treatment rationale and homework compliance in cognitive-behavioral therapy for depression. Cognitive Therapy and Research, 24(3), 313-326.

  8. How patients use our mood app Automated tracking of emotion How to use it Reports generated Tuesday 27th March 2014 Client: Helena Stujik Positive emotions Download therapist’s app App monitors patient’s voice Neutral Stressful emotions 10:11am – 10:23am Reason: My boss called me into her office Feeling: I felt tense 11:07am – 11:12am Reason: Presentation to main board with boss Feeling: Out of depth App extracts acoustic features 10:00 11:00 12:00 Example of feedback to patient App classifies into emotion Example for weekly summary report App prompts patient to reflect on emotional times Client: Helena Stujik Time Feeling Trigger Monday 26 March 09:35 12:43 15:53 No parking space Phone call for husband Drop folder on foot Sickness Annoyed Hurt and anno App feeds back emotion to patient Tuesday 27 March Tense Out of depth 10:11 11:07 My boss Presentation with board Wednesday 28 March 08:43 13:01 16:27 Queue of traffic Phone call for husband Shouted at secretary Sickness Frustrated Annoyed Thursday 08:59 Traffic Ill

  9. Current development plans Validate in prevention then move into treatment Alpha dev and trial Prevention study Psychological therapy study Q2 ‘13 Q3 ‘13 Q4 ‘13 Q1 ‘14 Q2 ‘14 Q3 ‘14 Q4 ‘14 • Prevention study • Patient preference • Clinical relevance of information • Completeness of information • Over 8 weeks • Psychological therapy study • Outcomes data • Equivalence • Over 20 weeks • Plus previous measures

  10. Questions for you Value to stakeholders Patients Providers of psychological therapies Payer of services (GPs, etc) Other applications Dementia PTSD Autism Adoption route Evidence base required Key opinion leaders Patient and patient group involvement Route to adoption (providers or payers) Concerns Privacy Efficacy Access (ie must have smartphone) Partners Which partners to work with How the partnership might work Matt Dobson Co-Founder and CEO Duncan Barclay Co-Founder and CTO Email matt.dobson@eitechnologies.co.uk Mobile +44(0) 75 81 63 03 81 Skype matt.dobson.uk Email duncan.barclay@eitechnologies.co.uk Mobile +44(0) 77 75 50 71 30 Skype duncan.m.barclay

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